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Q: What else would you do at this visit?
A: This patient is older than 40 and should be brought up to date on a number of health items. As a primary care physician, you need to take advantage of any opportunity to deliver preventive care. This may be your only opportunity for a patient who does not regularly seek medical help.
Delivering preventive care when a patient comes to the office for another reason is called opportunistic preventive care, or opportunistic screening. (This is in contrast to delivering preventive care at the time of a specific preventive care visit of health maintenance check-up.) Preventative care may require some salesmanship when the patient, such as KM, feels otherwise well.
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